Disposable male urinary incontinence device

ABSTRACT

Male incontinence device comprising the combination of a funnel element and a thin rubber sheath element adapted for application to the male member to transmit voiding of urine by the patient with connector means for preventing leakage between said elements. An additional resilient element is provided for retaining the sheath upon the male member.

1 United States Patent 11 1 1111- 3,742,953 Lee July 3, 1973 [5DISPOSABLE MALE URINARY 3,339,551 9/1967 Stoutenburgh 128/295INCONTINENCE DEVICE 3,349,768 10/1967 Keane 3,357,430 12/1967 RosenbergInventor: J State Veterans 3,364,932 l/l968 Beach 128/295 Hospital,Rocky Hill, Conn. 06067 [22] Filed: May 26, 1969' PrimaryExaminer-Charles F. Rosenbaum Appl. No.: 827,784

[52] US. Cl. 128/295 [51] Int. Cl. A6lf 5/44 [58] Field of Search128/294-295 [56] References Cited UNITED STATES PATENTS 2,789,560 4/1957Weimer 128/295 3,161,197 12/1964 Glas et a1 128/295 Att0rneyl. JordanKunik [57] ABSTRACT Male incontinence device comprising the combinationof a funnel element and a thin rubber sheath element adapted forapplication to the male member to transmit voiding of urine by thepatient with connector means for preventing leakage between saidelements. An addi tional resilient element is provided for retaining thesheath upon the male member.

7 Claims, 16 Drawing Figures PATENIEDJuLa um 3.742.953

INVENTOR c/ax/A/ /1/ [55 J QMM W ATTORNEY PATENTEU JUL 3 i973 smears 1.lL. 46T5? 4 INVENTOR dmv M 55 AT TORNEY PAIENIEUJUL3 I973 3. 742.953

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' INVENTOR L/0///V /4 55 i J u W ATTORNEY DISPOSABLE MALE URINARYINCONTINENCE DEVICE BACKGROUND OF THE INVENTION 1. FIELD OF THEINVENTION:

This invention relates to a disposable incontinence device and, moreparticularly, to a device for transmitting urine voided by anincontinent male patient by a combination of sheath and funnel elements,together with an adjustable resilient retaining element for securing theapparatus upon the male member.

2. DESCRIPTION OF THE PRIOR ART:

Examples of prior art devices are disclosed in the following U.S. Pat.,Nos. 947,725; 2,379,346; 2,389,83I; 2,610,630; 2,789,560; 3,032,038;3,138,160; 3,298,370; 3,339,551 and 3,364,932. Although the prior artdiscloses a funnel element and an elastic sheath in combination, it isto be noted that when voiding takes place and urine inevitably backs upinto the elastic sheath, leakage can occur at the outer end of saidelastic sheath thereby rendering the apparatus in effectual. Also theapplication of an elastic strip applied to retain the elastic sheathnear the outer end of the male member is extremely uncomfortable for thepatient and is highly impracticable in actual use. Furthermore, such anelastic strip is physiologically dangerous because of venousconstriction as a result of a tourniquet effect.

SUMMARY OF THE INVENTION The present invention obviates the foregoing.disadvantages of the prior art by providing a combination of a funneland elastic sheath where the molded plastic funnel element istelescopically inserted into the end of the elastic sheath andthereafterthe exit end of the funnel and the outer end of the elastic sheath areboth clamped together so that no leakage can possibly occurtherebetween. Furthermore, the sheath is retained upon the male organadjacent the pubis by a soft, resilient cuff element that is adjustablymounted around the sheath to secure the latter comfortably at the baseportion of the penis. The cuff element is fairly broad and distributespressure unequally over a large surface area and at the base of thepenis where venous pressure can be more safely tolerated. By thisarrangement, the patient is not subjected to the discomfitures thatwould be incurred with the prior art devices. A dry state is maintainedin any position of the male organ as long as the urine receptacle islocated below the level of the pubis.

Further objects and advantages of the invention will be described in thedrawings and specification hereinafter.

BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a side elevation ofthepresent invention, partly in section and partlyin dotted. outline,showing the application of the device upon the male member of a patientand the attachment of the apparatus by way of flexible tubing to areservoir bottle;

FIG. 2 is an exploded view of some of the components of the apparatusshown. in FIG. 1,. some parts being shown in elevation and others inverticalcrosssection;

FIG. 3 is a view taken on line 3-3 of FIG. 1;

FIG. 4 is a view taken on line 4-4 of FIG. 1;

FIG. 5 is an enlarged fragmentary central vertical section of a portionof the apparatus shown in FIG. 1;

FIG. 6 is an enlarged fragmentary view of a portion of FIG. 4 indicatingthe position of a component of the apparatus prior to its being secured;

FIG. 7 is a plan view of the securing element of the apparatus;

FIG. 8 is a reverse view of the securing element shown in FIG. 7;

FIG. 9 is a view taken on line 9-9 of FIG. 8;

FIG. 10 is a view taken on line 10-10 of FIG. 8;

FIG. 11 is a side view of the securing element shown in FIGS. 7-10 afterthe latter has been placed in its securing position;

FIG. 12 is a bottom view of the securing element shown in FIGS. 1, 5 and11;

FIG. 13 is a side view, partially in section and partially in elevation,illustrating another embodiment of the invention comprising an open wallfunnel to permit the collapse of the sheath;

FIG. 14 is a reverse perspective view of the open wall funnel portion ofthe apparatus shown in FIG. 13, with the heath illustrated in dottedoutline and partially rolled;

FIG. 15 is an internal end view of the apparatus shown in FIG. 14; and

FIG. 16 is a view taken on line 16-16 of FIG. 13, showing the sealingaction of portions of the sheath collapsed against each other throughthe opening walls of the funnel.

DESCRIPTION OF THE PREFERRED EMBODIMENTS Referring now to the drawingsin detail, the present invention comprises an assembly of components,

namely, a funnel element 21, a thin rubber sheath or I condom 22, aflexible tube 23, and a connector element 24.

Funnel element 21 may be made of a rubber or plastic material such aspolyethylene or any other suitable material which is rigid orsemi-rigid. The outer surface of funnel 21 may be provided with radiallyextending, integrally formed ribs or ridges 26 to prevent deformation ofthe shape of said funnel and to prevent or minimize rotation of thesheath in relation to said funnel. Also, the plastic funnel maintains aconstant reservoir in the distal sheath and this is important wherevoiding is not normal and there is constant leakage or dribbling ofurine.

At the wider end of funnel 21 there is an outwardly extendingcircumferential rim 27. The smaller end of funnel 21 terminates in anintegrally formed tubular nozzle 28 which, intermediate its ends, has onthe outer surface thereof an integrally formed, outwardlyextendingcircumferential ridge 29. The interior surface of funnel 21 maybe coated with Teflon to facilitate evacuation of urine therethrough.

Connector element 24, which may be made of a stiff but somewhatresilient plastic, rubber, or other suitable material, is tubular inshape and has an internal annular recess 31 intermediate its ends withwhich ridge 29 of nozzle 21' interfits with a snap action.

Drain tube 23 which is corrugated to provide flexibility has anintegrally formed inlet nozzle 32 which coacts by force flt with theinterior of one end of connector 24 whereby said two components areseparably securedtgether. The funnel, in conjunction with the corrugateddrain" tube connector element, prevents acute angulation and twisting ofthe sheath outlet with changes in the position of the drain tube orposition of the male member in relation to the drain tube. Obstructionby kinking or twisting occurs with devices utilizing button-typeconnectors.

Rubber sheath 22, which may comprise the well known thin rubber or latexprphylactic or condom is a tubular element which is availablecommercially in a rolled condition, a greater portion of which comprisesrolled portion 33 to form a receiving end of said element. In FIG. 2,sheath 22 is shown partially unrolled. The other end of sheath 22terminates in an axially extending integrally, formed, closed endreceptacle tip 34 of considerably narrower diameter, said tip beinginsertable into the interior of connector 24 at least beyond annularrecess 31. i

In order to assemble the apparatus and to apply it upon the male memberor penis of the patient, nozzle 28 of funnel 21 is insertedtelescopically into the closed end tip 34 of the rolled rubber sheath22. Nozzle 28, with tip 34 stretched over it, is then pressed into theinterior of a connector 24 until circumferential ridge 29 snaps into andengages annular recess 31 of said connector. Thus, a leak-tight junctureis achieved between the nozzle and the sheath and obviates the use ofcement or other bonding that'would otherwise be required.

Thereafter, a pencil shaped perforator having a plurality oflongitudinal cutting edges, not shown, is extended through the interiorof funnel 21 and through nozzle 28 to perforate that portion of tip 34which is stretched over the exit end of nozzle 28. It is advantageous tomake sure that the perforation is not merely one that is obtained bypiercing with a pin or an extremely sharp object, but is rather piercedby a thick and blunt instrument which will ensure that the opening madein tip 34 will be substantially equal to the interior diameter of nozzle28.

Thereafter, the foreskin of the penis, if present, is then drawn downover the head into the normal position, the end of the penis is insertedinto and nested in funnel 21, after which rolled portion 33 of sheath 22is rolled onto the shaft of the penis until the proximal rim is adjacentthe pubis.

In order to secure the unrolled sheath 22 firmly in position, there isprovided a cuff generally designated 41, as shown in various views inFIGS. 4 12, said cuff comprising an elongated base or backing element 42made of a flexible material such as sheet plastic or plastic coated orimpregnated woven fabric. Backing 42 has an integral tab extension 43 toone surface of which is bonded or otherwise attached a Velcro fasteningsurface 44 comprising evenly distributed multitudinous tiny projectinghook-like plastic elements. Applied upon the opposite surface at theother end of backing 42 is a felt strip 45 which, when said backing isrolled into a tubular form, enables Velcro fastener to engage said feltstrip to retain said backing in that tubular form as shown in FIGS. 4and 6.

Mounted upon backing 42 on the same side as the Velcro fastener 44 is anelongated soft plastic sponge or foam strip 46, said strip 46 beingsomewhat wider than backing 42, as will be explained hereinafter. Theupper and lower edges 47 and 48, respectively, may be beveled in theareas where they extend from the respective upper and lower edges ofbacking 42. As shown in FIG. 7, the left end of foam strip 46 protrudesa short distance beyond the edge of backing 42 to form an extension 46a.

As shown in FIG. 10, the end of foam strip 46 adjacent Velcro fastener44 has a recessed ledge 49 which, when said backing and foam strips arerolled into tubular form around sheath 22, the extension 460 of foamstrip 46 beyond the left end of backing 42 (FIG. 7) nests into saidledge 49 to permit the formation of a smooth, tubular assembly as shownin FIGS. 4 and 6. The resiliency of the soft, plastic foam permits theready accommodation of this interfitting juncture whereby asubstantially smooth tubular interior surface is formed therebypreventing tenting of the rubber sheath and of the enclosed flaccid skinof the penis with resulting pinching and skin irritation.

In some embodiments, the upper edges of both backing 42 and foam strip46 may be provided with a concave contour 50 intermediate the endsthereof for conformation to the male anatomy. Furthermore, the surfaceof foam strip 46 may be marked with an index arrow pointer 51 located atthe apex of the contoured area (FIG. 8) to guide the patient in theproper application of the cuff which is located with the base portion 1of the penis centered over said arrow pointing toward the body of thepatient. This ensures that the concave edge of thecuff will be in aposition adjacent the symphysis.

With the proximal rim 52 of the rubber sheath now adjacent the pubis,cuff 41 is applied circumferentially around the sheath-enclosed base ofthe penis with the ends of the cuff extending upwardly and then matingthe ends of the foam strip 46 together in ledge 49. Thereafter, theVelcro strip 44 is urged against felt strip 45 to which it adheresfirmly. Cuff 41 can readily be removed by manually pulling at Velcro tab43 which causes the Velcro hooks to become released from felt strip 45.After cuff 41 is in position, then the proximal circumferential rim 52of sheath 22 is brought over the edge of cuff 41 as shown in FIGS. 5 and12, whereby the position of sheath 22 in relation to cuff 41 is furthersecured. In some embodiments, strip 46 is provided with acircumferential bead 53 with which elastic rim 52 cooperates to enhancethe position stability of sheath 22. When the circumferential rim 52 ofsheath 22 is brought over the edge of cuff 41, a smooth anatomicallycountoured cushion is produced which adds to the comfort of the deviceand prevents skin irritation due to pressure especially at thepeno-scrotal angle.

OPERATION When voiding occurs, the rubber sheath 22 fills suddenly withurine. Sheath 22 expands elastically but is secured in position by cuff41. The elastic force of sheat 22 is exerted to cause the outflow of theurine from the sheath through funnel 21, connector 24, and throughdrainage tube 23. The flow of urine through drainage tube 23 creates asiphonage effect and a negative intra-sheath pressure which completelyempties the sheath after voiding. The widened portion of funnel 21prevents this negative pressure from being exerted directly onto thepenile meatus and to the distal male organ which would otherwise bepainful. The drain tube 23 is corrugated to give maximum flexibility andlongitudinal expansibility thereby resulting in minimal tension on thesheath and preventing kinking at the outlet end. The corrugations ondrain tube 23 render the latter somewhat expansible and contractable tothe extent that any tension or twisting applied to any portion of saidtube is not appreciably transmitted to the assembly of sheath 22 andfunnel 21 or to the male member. Drain tube 23 is connected by means ofa connector tube 56 to a suitable reservoir bottle 57 having a suitableair vent valve 58 to ensure proper function of the siphonage principle.

It will be noted that ribs 26 of funnel 21 also perform the function offrictionally preventing twisting and undue rotational displacement ofelastic sheath 22 relative to said funnel, before or during the processof voiding.

In one embodiment, cuff 41 may be as much as about 1 inch to 2 incheswide, whereby the pressure thereof is distributed over a comparativelywide area thereby ensuring the comfort of the patient and preventing atourniquet. The cuff provides for maximum contact with the skin of theenclosed male member thereby decreasing the circumferential. pressurenecessary to maintain the position of the rubber sheath. Theanatomically contoured cuff also allows the device to be used where theshaft of the penis is short by virtue of its being gripped by the narrowlower edge while still maintaining maximum cuff diameter and to providefor maximum skin contact laterally and superiorly to maintain theappliance in position without excessive circumferential pressure. Theskin pressure is distributed unequally circumferentially of the penis incontrast to the undesirable equal and higher pressure induced by aband-type restraint.

Another embodiment of the invention is shown in FIGS. 13-16 wherein thefunnel element, generally designated 61, comprises an outlet tube 62having an annular rib 63 which is comparable to respective elements 28and 29 of funnel 21 as shown in FIG. 2.

Integrally formed or otherwise connected to one end of outlet tube 62are the inner ends of a plurality of curved radially spaced apart ribs64, the outer ends of said ribs terminating in a common, integrallyformed ring element 65 and said ribs 64 defining a plurality ofapertures 66. In a manner similar to that shown in FIG. 2, a flexiblesheath 67 made of rubber or the like, is rolled over the outside ofwall-less funnel 61 with outlet 62 being telescopically inserted intosheath receptacle tip 68. Outlet 62 is inserted into a tubular connector24 as shown in FIG. 2 after which the end of the receptacle tip 68 ofsheath 67 is pierced in order to permit exit flow of fluid throughoutlet 62 in the same manner as described hereinbefore.

Thereafter, the head of the penis is inserted only partially into thecage formed by ribs 64 as shown in FIG. 13, after which sheath 67 isretracted along the shaft of the penis as shown in FIGS. 1 and 5.

In this embodiment, protection is afforded for the head of the penis,the foreskin and the penile meatus against excessive negativeintrasheath pressure generated where voiding is vigorous or voluminous.By omitting the walls of the funnel between the radially spaced ribs 64,the surrounding segmentary portions 69 of sheath 67 collapses and enterscircumferentially into the cage formed by said ribs, following the exitof urine. This action is permitted by the great elasticity of sheath 67whereby said segmentary portions 69 of the sheath that enter into thecage become urged against the end portion of the penis as well asagainst the sheath portions 68 themselves as shown in FIGS. 13 and 16 toform an effective liquid-tight seal between the end of the penis andoutlet tube 62, thereby abruptly halting further generation ofintrasheath pressure and, at the same time, cushioning the distal malemember against funnel outlet 62. Thus, when outlet 62 is blocked,further increase in negative siphonage pressure is prevented while, atthe same time, the entry of the foreskin or portions of the urethralmeatus into said outlet and consequent irritation are also prevented.

Although funnel element 61 (FIG. 14) is shown as being formed of radialribs 64 and a circular ring 65, it is understood that similar open wallfunnels may be substituted wherein apertures or openings 66 in the wallsof the funnel element are of different shapes and sizes but aresufficiently large to permit the stretching of segments 69 of sheath 67into and through said apertures so that said segments are urged againsteach other as shown in FIGS. 13 and 14. The sizes and shapes ofapertures 66 will be determined by empirical means to cause theapparatus to perform efficiently and comfortably.

The incontinence appliance described and claimed herein has been used ona good number of patients who would otherwise have been relegated toindwelling catheter drainage of the bladder with inevitable urinarytract infection and bladder calculi resulting therefrom.

In some embodiments, suitable suspension tabs may be connected to cuff41 for securing the latter to a suspensory means having an adjustableelastic waistband in order to prevent accidental dislodgement of thedevice herein from the patient.

Although the present invention has been described with reference toparticular embodiments and examples, it will be apparent to thoseskilled in the art that variations and modifications can be substitutedtherefor without departing from the principles and true spirit of theinvention.

I claim:

1. A male incontinence device comprising a funnel element made ofsemi-rigid or rigid material adapted to receive and encase the endportion of the male member, an elongated sheath of thin elasticmaterial, said funnel element being telescopically inseted into the endportion of said sheath, an exit nozzle integrally formed on the outerend of said funnel, said exit nozzle being surrounded by the outer endportion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, and aplurality of radially spaced apart, elongated ridges on the outersurface of said funnel member, said ridges cooperating with thesurrounding portion of said sheath to prevent the latter from becomingdisplaced rotationally in relation to the surface of said funnel member.

2. A male incontinence device comprising a funnel element made ofsemi-rigid or rigid material adapted to receive and encase the endportion of the male member, an elongated sheath of thin elasticmaterial, said funnel element being telescopically inserted into the endportion of said sheath, an exit nozzle integrally formed on the outerend of said funnel, said exit nozzle being surrounded by the outer endportion of said sheath, a connector element, locking means on saidnozzle, locking'means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, an elementfor securing a portion of said sheath to the base portion of the maleorgan, said securing element comprising an outer strip non-elasticmaterial, an inner strip of soft resilient foam material bonded to saidfirst mentioned strip, said combination of strips being encircled aroundsaid sheath and the base portion of the male member for securing saidsheath to said male member and means for adjusting the length of saidcombination of strips for accommodation to the size of the male memberand the comfort of the patient, and an outwardly extendingcircumferential bead formed on said first mentioned strip, said beadbeing engaged by the rim of the open end of said sheath which is rolledover when the latter is retracted over the edge of said combination ofstrips when said securing element is fixed in place.

3. A male incontinence device comprising a funnel element made ofsemi-rigid or rigid material adapted to receive and encase the endportion of the male member, an elongated sheath of thin elasticmaterial, said funnel element being telescopically inserted into the endportion of said sheath, an exit nozzle integrally formed on the outerend of said funnel, said exit nozzle being surrounded by the outer endportion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, an elementfor securing a portion of said sheath to the base portion of the maleorgan, said securing element comprising an outer strip of nonelasticmaterial, an inner strip of soft resilient foam material bonded to saidfirst mentioned strip, said combination of strips being encircled aroundsaid sheath and the base portion of the male member for securing saidsheath to said male member and means for adjusting the length of saidcombination of strips for accommodation to the size of the male memberand the comfort of the patient, and a recess in one end of said softresilient strip which accommodates an end portion of the other end ofsaid soft resilient material to provide a substantially smooth interiorsurface for said securing element.

4. A male incontinence device comprising a funnel element made ofsemi-rigid or rigid material adapted to receive and encase the endportion of the male member, an elongated sheath of thin elasticmaterial, said funnel element being telescopically inserted into the endportion of said sheath, an exit nozzle integrally formed on the outerend of said funnel, said exit nozzle being surrounded by the outer endportion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, an elementfor securing a portion of said sheath to the base portion of the maleorgan, said securing element comprising an outer strip of nonelasticmaterial, an inner strip of soft resilient foam material bonded to saidfirst mentioned strip, said combination of strips being encircled aroundsaid sheath and the base portion of the male member for securing saidsheath to said male member and means for adjusting the length of saidcombination of strips for accommodation to the size of the male memberand the comfort of the patient, and a concave recess intermediate theends of said securing element for adaptation of the latter adjacent thesymphysis when encircling the base portion of the male organ.

5. Device according to claim 4 and further comprising an index mark onthe surface of the resilient foam material near said concave recess forindicating the optimum position of the male organ prior to encirclingthe same with said securing element.

6. A male incontinence device comprising a funnel element made ofsemi-rigid or rigid material adapted to receive and encase the endportion of the male member, an elongated sheath of thin elasticmaterial, said funnel element being telescopically inserted into the endportion of said sheath, an exit nozzle integrally formed on the outerend of said funnel, said exit nozzle being surrounded by the outer endportion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means toform a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, and aplurality of apertures in the walls of said funnel element, saidapertures being of sufficient size to permit the stretching of segmentsof said sheath through said apertures and into contact with each otherunder the siphonage action of the outflow of fluid through said exitnozzle to form an effective seal and to provide protection for the endof the male member.

7. Device according to claim 6 wherein said funnel comprises a pluralityof radially spaced apart ribs forming said apertures, said ribs beingjoined at their outer end by a connecting ring.

1. A male incontinence device comprising a funnel element made ofsemi-rigid or rigid material adapted to receive and encase the endportion of the male member, an elongated sheath of thin elasticmaterial, said funnel element being telescopically inserted into the endportion of said sheath, an exit nozzle integrally formed on the outerend of said funnel, said exit nozzle being surrounded by the outer endportion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath Surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, and aplurality of radially spaced apart, elongated ridges on the outersurface of said funnel member, said ridges cooperating with thesurrounding portion of said sheath to prevent the latter from becomingdisplaced rotationally in relation to the surface of said funnel member.2. A male incontinence device comprising a funnel element made ofsemi-rigid or rigid material adapted to receive and encase the endportion of the male member, an elongated sheath of thin elasticmaterial, said funnel element being telescopically inserted into the endportion of said sheath, an exit nozzle integrally formed on the outerend of said funnel, said exit nozzle being surrounded by the outer endportion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, an elementfor securing a portion of said sheath to the base portion of the maleorgan, said securing element comprising an outer strip of non-elasticmaterial, an inner strip of soft resilient foam material bonded to saidfirst mentioned strip, said combination of strips being encircled aroundsaid sheath and the base portion of the male member for securing saidsheath to said male member and means for adjusting the length of saidcombination of strips for accommodation to the size of the male memberand the comfort of the patient, and an outwardly extendingcircumferential bead formed on said first mentioned strip, said beadbeing engaged by the rim of the open end of said sheath which is rolledover when the latter is retracted over the edge of said combination ofstrips when said securing element is fixed in place.
 3. A maleincontinence device comprising a funnel element made of semi-rigid orrigid material adapted to receive and encase the end portion of the malemember, an elongated sheath of thin elastic material, said funnelelement being telescopically inserted into the end portion of saidsheath, an exit nozzle integrally formed on the outer end of saidfunnel, said exit nozzle being surrounded by the outer end portion ofsaid sheath, a connector element, locking means on said nozzle, lockingmeans on said connector element, both of said locking means cooperatingto secure said connector to said nozzle with the portion of said sheathsurrounding said nozzle being clamped between both said locking means toform a liquid-tight seal, the remainder of said sheath extending overthe remainder of the male member, an element for securing a portion ofsaid sheath to the base portion of the male organ, said securing elementcomprising an outer strip of non-elastic material, an inner strip ofsoft resilient foam material bonded to said first mentioned strip, saidcombination of strips being encircled around said sheath and the baseportion of the male member for securing said sheath to said male memberand means for adjusting the length of said combination of strips foraccommodation to the size of the male member and the comfort of thepatient, and a recess in one end of said soft resilient strip whichaccommodates an end portion of the other end of said soft resilientmaterial to provide a substantially smooth interior surface for saidsecuring element.
 4. A male incontinence device comprising a funnelelement made of semi-rigid or rigid material adapted to receive andencase the end portion of the male member, an elongated sheath of thinelastic material, said funnel element being telescopically inserted intothe end portion of said sheath, an exit nozzle integrally formed on theouter end of said funnel, said exit nozzle being surrounded by the outerend portion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, an elementfor securing a portion of said sheath to the base portion of the maleorgan, said securing element comprising an outer strip of non-elasticmaterial, an inner strip of soft resilient foam material bonded to saidfirst mentioned strip, said combination of strips being encircled aroundsaid sheath and the base portion of the male member for securing saidsheath to said male member and means for adjusting the length of saidcombination of strips for accommodation to the size of the male memberand the comfort of the patient, and a concave recess intermediate theends of said securing element for adaptation of the latter adjacent thesymphysis when encircling the base portion of the male organ.
 5. Deviceaccording to claim 4 and further comprising an index mark on the surfaceof the resilient foam material near said concave recess for indicatingthe optimum position of the male organ prior to encircling the same withsaid securing element.
 6. A male incontinence device comprising a funnelelement made of semi-rigid or rigid material adapted to receive andencase the end portion of the male member, an elongated sheath of thinelastic material, said funnel element being telescopically inserted intothe end portion of said sheath, an exit nozzle integrally formed on theouter end of said funnel, said exit nozzle being surrounded by the outerend portion of said sheath, a connector element, locking means on saidnozzle, locking means on said connector element, both of said lockingmeans cooperating to secure said connector to said nozzle with theportion of said sheath surrounding said nozzle being clamped betweenboth said locking means to form a liquid-tight seal, the remainder ofsaid sheath extending over the remainder of the male member, and aplurality of apertures in the walls of said funnel element, saidapertures being of sufficient size to permit the stretching of segmentsof said sheath through said apertures and into contact with each otherunder the siphonage action of the outflow of fluid through said exitnozzle to form an effective seal and to provide protection for the endof the male member.
 7. Device according to claim 6 wherein said funnelcomprises a plurality of radially spaced apart ribs forming saidapertures, said ribs being joined at their outer end by a connectingring.